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WHAT IS KNOWN ON THE SUBJECT?: In mental healthcare environments, there are times when people are forced into care (i.e. to take medications or be hospitalized) when they may not want it. It is difficult to understand how person-centred care (i.e. supporting patients to lead decisions about their care) can occur within coercive settings. There is a gap in the literature about this topic as few studies have explored it. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper examines the research publicly available to better understand if person-centred care can exist at times when people are forced into mental health care. The paper develops a conceptual framework, RAISe (Relationship, Agency, Information, Safe environment), for understanding this matter in order to help people apply this concept in practice In certain situations, with caring and respectful approaches, with and for patients, it is possible to provide person-centred care at times when mental health care is forced. RAISe identifies ways in which this can be done by clinicians while working with people. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: These person-centred approaches need to be applied across mental health systems so that people in forced mental healthcare scenarios continue to experience dignity and respect. This is particularly important for nurses who are often the ones providing direct care to patients in these environments. ABSTRACT: Introduction Person-centred care (PCC) is founded on a theoretical premise that the person who the care issue pertains to directs the decisions relating to them. This can raise ethical challenges when mental health care is forced. Aim This paper reports on how PCC is provided in coercive mental healthcare environments and its outcomes, where reported. Method A scoping review methodology was utilized to search the literature in English until December 2019 (inclusive). Results Twenty articles were included in the review. The information found was diverse and addressed different aspects of PCC in coercive mental healthcare environments. Discussion Overall, this area is understudied. Despite ethical challenges, there are opportunities to provide PCC in coercive mental healthcare environments. A novel conceptual framework, RAISe (Relationship, Agency, Information, Safe environment), is presented to assist in applying PCC in these environments. Further research investigating how to employ these practices across systems should occur. Implications for Practice This review acknowledges the challenges of providing PCC in coercive mental healthcare environments, while suggesting that this type of care can still be delivered in general as well as specific ways. This is especially relevant for nurses who provide direct care within these environments., (© 2020 John Wiley & Sons Ltd.)

More than half of poor African American infants are born into "fragile families" and nearly half grow up in single-mother families with little or no father involvement. However, most prenatal interventions fail to help unmarried mothers talk and plan together with their baby's father, especially when fathers are nonresidential. This article details one of the nation's first interventions explicitly designed to support coparenting and triangular (mother-father- infant) relationships in African American families where the parents are unmarried, be they coupled or uncoupled. The Figuring It Out for the Child (FIOC) project in St. Petersburg, FL, successfully partnered with local community leaders in designing, implementing, and evaluating a novel dyadic, prenatal intervention enrolling both coresidential and non- coresidential African American parents. The authors provide an overview of the state of the field when the project began, explain the significance of the project's community connectedness, summarize details of outreach efforts, and highlight noteworthy findings relevant to this issue. [ABSTRACT FROM AUTHOR]

Substantial research has been conducted on new parents' adjustment during the transition to biological parenthood. However, very little is known about adjustment experiences during the transition to adoptive parenthood. Such information could assist in creating support systems for adoptive parents similar to those that currently exist for biological parents. A systematic literature review was conducted to examine individual and relational adjustment outcomes during the transition to adoptive parenthood, limited to those studies that examined the immediate post-adoption period through 3 years post-placement. By searching six databases using a variety of keywords including post-adoption, adapt, and parent, 11 research studies were identified that reported on parental mental health, physical health, and intimate partner relationship satisfaction in the immediate post-adoption period. The studies reviewed appear to indicate that post-adoption depression is relatively common, although perhaps less so than depression among biological parents. It is difficult to draw conclusions about physical health and relationship satisfaction as only one study directly assessing each outcome was located. Findings suggest that additional research is warranted to provide a clearer characterization of physical and psychological adaptation to parenthood among adoptive parents. [ABSTRACT FROM AUTHOR]

Abstract: Research indicates that the transition to adoptive parenthood can be challenging for many adoptive parents, but that the provision of post-placement services may mitigate these challenges. However, little is known about the specific post-placement service needs of adoptive parents during this transition. This paper describes a pilot project from Ontario, Canada which sought to explore the support needs of adoptive parents in the post-placement period. Eight semi-structured interviews were conducted with nine newly placed adoptive parents. Eight of the nine participants were married; two had adopted internationally, five had adopted through the public system in Ontario and the remaining participant utilized private adoption. Through our analysis of the data, we identified two meta-themes: a) challenges and b) facilitators accompanying the transition to adoptive parenthood. Grounded theory methodology was used to develop these themes into a conceptual framework describing the transition to adoptive parenthood. This framework posits that each parent negotiates a particular set of challenges and facilitators associated with their specific adoption experience. In future, this framework can become a tool to assist adoptive parents and practitioners to proactively identify and address potential challenges during the transition to parenthood. [Copyright &y& Elsevier]